webinar 9 - learn about claim scrubber- bi, hcfa 2-12, icd 10 from digidms | digidms.com

Webinar 9:Learn about Claim Scrubber, BI,

HCFA 2/12, ICD 10 from DigiDMS PMTuesday, April 23, 2014 at 3:30 PM EST

Wednesday, April 24, 2014 at 4:30 PM EST

EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging

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Claim Scrubber : BenefitsReduce Denials and Improve Cash Flow with Claim ScrubberIndustry estimates show that healthcare organizations devote more than $83,000 per physician per year to interactions with payers, and many of these are the direct result of claim errors. Experian Health Claim Scrubber eliminates costly, time‐consuming rework and boost first‐time pass‐through rates by ensuring that all claims are complete and accurate before submission to the appropriate payer or clearing‐house.

• Submit Cleaner Claims• Minimize Payment Delays• Improved cash flow• Increased staff efficiency• Faster payment


Claim Scrubber : Activate

Activate Claim Scrubber

Enterprise Module


Claim Scrubber : Type of EditsFew Examples• Age edit• Gender Edit• Modifier ‐ Missing, Invalid, Suggested• ICD Code ‐ expired, valid, LCD, NCD• CPT Code

‐ Expired, Valid, RVU, Medicare Preferred Codes, See also codes, Notes• LCD/ NCD• RVU Details

‐Work RVU, FAC RVU, Non‐FAC RVU…‐ Cross Checking Initiative – 2 cpts can be billed together


Claim Scrubber : In Action


Business Intelligence EngineBenefits

• Process Automation

• Effective Tracking

• Save Time

• Better Productivity


Business Intelligence EngineWhat It can do?• Auto Download Clearing House Reports, Insurance Reports• Auto Download ERA Files• Auto Post ERA Files• Auto Adjustment of Action Codes for Posted Encounters• Auto Submission to Secondary Insurance company• Auto Uploading Patient Statements• Auto Tagging of Aging List to Claims Based on ERA Codes• Auto eMail sending for status• Auto eMail of patients for today’s appointment whose claims are denied


Business Intelligence EngineConfiguration


Business Intelligence Engine


Business Intelligence EngineFollow‐up Configuration : Claim Follow‐up


Business Intelligence EngineFollow‐up Configuration : Audit Report


Business Intelligence EngineFollow‐up Configuration : Patient Statement Follow‐up


Business Intelligence EngineAppointment Notification : Configuration


Business Intelligence EngineBilling Notification : Configuration


HCFA Form Version 2/12Watch Video * Refer DocumentWhy is there a new claim form?The new form is designed to accommodate the change to ICD‐10. It provides fields that allow you to use the longer codes and enter more codes. Updates were also devised to create consistency with the data submitted on electronic claims (837P) as well as overall improvements to the usability of the form.What’s new in HCFA form version 02/12Indicators added for differentiating between ICD‐9‐CM and ICD‐10‐CM diagnosis codesThe number of possible diagnosis codes expanded to 12, however, what has not changed is that each procedure will still only allow up to 4 diagnosis pointers. This means that this new form can still only support 4 diagnosis codes per procedure.The diagnosis pointers (Box 24E) will be moved over from numbers to letters for ICD‐10.Qualifiers added to identify provider roles (ordering, referring, supervising)


HCFA Form Version 2/12 : ConfigurationWatch Video * Refer Document


ICD 10 : Configuration


DigiDMS PM Features• Patient Statements – Duplicate, Address Update• Payer Classification• Remittance Address


Questions & Answers

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Thank You!


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webinar 9 - learn about claim scrubber- bi, hcfa 2-12, icd 10 from digidms | digidms.com

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